A Prospective Study to Evaluate Safety, Efficacy and Expulsion Rate of Post Placental Insertion of Intra Uterine Device

AIM: This study was conducted to know the factors associated with acceptability of immediate post placental IUCD insertion in women and to know the level of safety efficacy and expulsion of post placental insertion of IUCD.MATERIAL AND METHODS: This study was conducted in Obstetrics and Gynaecology, Department of Gandhi Memorial Hospital, Rewa (M.P.) over period of 9 months.Women admitted and delivered at SGMH were counseled regarding IUCD like its advantage side effects and complications.CuT 380A was inserted within 15 minutes of delivery of placenta and membranes in women who had no contraindication for post placental IUCD and gave consent for this.All these women were followed up to 6 months post insertion period.RESULTS: Total number of counseled women was 600 over the period of three months from August 2014 to October 2014.Out of these only 400 women gave consent for PPIUCD insertion, 200 denied.100 Lost follow-up only 300 women were followed-up.Among followed-up women 30 women had expulsion, 20 women had only bleeding problem, 20 women had only pain in abdomen, bleeding and abdominal pain together in found in 60 women, thread problem in 5 women and continuation on contraceptive method by 230 women, 70 women discontinued IUD because of bleeding, pain in abdomen, missing thread, family pressure etc. CONCLUSION: On the basis of our results it may be concluded that insertion of CuT 380A within 15 minutes after placental delivery has high retention rate, expulsion rate was not very high and it can be reduce with practice.Acceptability of this contraceptive method is high with proper counseling despite of low awareness level.